What do setons ACTUALLY do? Seton drains keep the fistula tracts open and draining. When they don’t drain? Pressure builds → abscess → potential sepsis. Abscess means fever, chills, and fatigue that actually knock me out. Every surgery is an “exam under anesthesia” - they map where the tracts are, place the drains, tie them off. Disease moves, they adjust. New tract forms without a drain? Same cycle starts again. This is what keeps me out of the hospital. | Rob Nunnery